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Technology Use/Management - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Technology Use/Management:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions for Employees Participating in the 360-Feedback Assessment:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to receive feedback from a group of others. As part of this process, you will need to complete a self-assessment questionnaire at this time. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences over the last 12 months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be combined with the responses received from others and a report will be generated for you to foster growth and on-going development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses, and will be not making any changes, click the Complete button.

Competencies Included:
Technology Use/Management, Interpersonal Skills, Adaptability, Action, Continual Learning, Leadership, Managing Performance, Achievement, Negotiation
Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team
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Technology Use/Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You are proficient in the use of technical systems and processes.
  1. You adopt the implementation of new technology into the workplace.
  1. You maximize the use of new technology to deliver products and services.
  1. You understand and are committed to implementing new technologies.
  1. You use technology in decision making and problem solving.
If you were to make improvements in Technology Use/Management, what are your suggestions for how you can improve this?

Interpersonal Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You value the opinions of others.
  1. You strive to lead by example to demonstrate the value of interpersonal relationships.
  1. You are able to work with individuals at all levels of the company.
  1. You give good advice and suggestions to coworkers.
  1. You effectively manage conflicts by dealing with them directly and immediately
If you were to make improvements in Interpersonal Skills, what are your suggestions for how you can improve this?

Adaptability

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You work effectively in dynamic and changing work environments.
  1. I successfully handle the implementation of the reorganization.
  1. You pivot quickly in response to shifting project needs.
  1. You adjust strategy when new information is presented.
  1. You make adjustments as need to meet the demands of a dynamic marketplace.
If you were to make improvements in Adaptability, what are your suggestions for how you can improve this?

Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I leverage skills and resources to exceed performance expectations.
  1. You are not afraid to take corrective action when necessary.
  1. I effectively handle multiple complex issues simultaneously.
  1. You successfully identify the right person for a job when distributing tasks.
  1. I am not afraid to take action when necessary.
If you were to make improvements in Action, what are your suggestions for how you can improve this?

Continual Learning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You share best practices with others and learn from others.
  1. You take charge of your training and skills enhancement.
  1. You participate in regular training offered.
  1. You pursue learning that will enhance job performance.
  1. You grasp new ideas, concepts, technical, or business knowledge.
If you were to make improvements in Continual Learning, what are your suggestions for how you can improve this?

Leadership

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You mentor others.
  1. You are able to organize the work of others.
  1. You are able to increase the performance of under-performing employees.
  1. You provide challenging assignments to employees.
  1. You empower others to achieve results and holds them accountable for actions.
If you were to make improvements in Leadership, what are your suggestions for how you can improve this?

Managing Performance

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I set performance expectations that are clear, specific and concise.
  1. You initiate a performance improvement plan for underperforming subordinates.
  1. I ensure team members receive rewards for positive performance accomplishments.
  1. I measure performance using standard production quotas.
  1. You implement remediation plans with follow up after 3 months.
If you were to make improvements in Managing Performance, what are your suggestions for how you can improve this?

Achievement

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You complete work promptly and efficiently.
  1. You accept setbacks and challenges as improvement opportunities
  1. I work to meet required benchmarks for the position.
  1. You use established goals and performance measures to keep track of performance.
  1. I am highly motivated to achieve performance goals.
If you were to make improvements in Achievement, what are your suggestions for how you can improve this?

Negotiation

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You know where to stand firm and where to compromise.
  1. I am resolute on positions to provide consistency in the negotiation strategy.
  1. You justify viewpoints using strong and credible data.
  1. You base arguments on objective standards or criteria, such as market value, legal standards, or expert opinions.
  1. You are able to adapt to dynamic situations created by new information or unexpected challenges.
If you were to make improvements in Negotiation, what are your suggestions for how you can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


  3. Please give any final comments or suggestions for [Participant Name Here]'s assessment.